Author/Authors :
Tabibi, Ali Department of Urology - Shaheed Labbafinejad Medical Center - Shaheed Beheshti Medical University, Tehran, Iran , Nouralizadeh, Akbar Department of Urology - Shaheed Labbafinejad Medical Center - Shaheed Beheshti Medical University, Tehran, Iran , Parvin, Mahmoud Department of Pathology - Shaheed Labbafinejad Medical Center - Shaheed Beheshti Medical University, Tehran, Iran , Ghoreishian, Mohammad Department of Urology - Shaheed Labbafinejad Medical Center - Shaheed Beheshti Medical University, Tehran, Iran , Sadeghi, Peyman Department of Urology - Shaheed Labbafinejad Medical Center - Shaheed Beheshti Medical University, Tehran, Iran , Nafar, Mohsen Department of Nephrology - Shaheed Labbafinejad Medical Center - Shaheed Beheshti Medical Universiy, Tehran, Iran
Abstract :
Introduction. Acute tubular necrosis (ATN) is a challenging problem
that still requires to be studied in animal models. Our aim was to
prepare an established experimental model of inducing reversible
ATN in rats by determining the optimum duration of ischemia
induction to the kidney.
Materials and Methods. Twenty-four hour after nephrectomy of
the right kidney and clamping the pedicle of the left kidney for
durations ranging from 10 to 55 minutes, the kidney function and
the histologic changes were evaluated. Accordingly, the optimum
duration of clamping was determined and in the next step, it was
considered for induction of reversible ATN in another group of
rats. This group was followed up for 14 days and the pathologic
course and function of the kidney were observed.
Results. Reversible ATN developed by 47-minute clamping of the
renal pedicle. Blood urea nitrogen and serum creatinine levels
were elevated up to threefold within 24 hours after the induction
of ischemia and they decreased to their reference ranges after 12
and 6 days, respectively. In the histologic study of the kidneys,
the least extend of injury was noted by the 14th day following
the ATN induction. Even on the 14th day of the follow-up, some
signs of ATN remained indicating that the tissue regeneration was
not complete yet.
Conclusions. To integrate the experimental models of ATN, a rat
model with 47-minute clamping of the renal pedicle for induction
of ischemia seems appropriate. The resultant ATN remains for a
long duration, while kidney function is alleviated
Keywords :
acute tubular necrosis , ischemia , kidney function , rat , animal model